HomeMy WebLinkAboutfreezing damage 2015Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws. Ch.139. Sec.3B
212412015
YARMOUTH FIRE DEPT
96 OLD I\4AIN ST
SOUTH YARI,IOUTH MA 02664
lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
BARBARA J. DOOLEY
12AVON RD.. YARMOUTHPORT. MA 02675
1107605
Freezing
02t21t2015
331899
Re
Claim has been made involving loss, damage or destruction of the above captioned prope(y, which may either
exceed $1000.00 or cause Massachusetts General Laws. Chapter 143, section 6 to be applicable. lfany
notice under l\,,tassachusetts General Laws. Chapter '139. Section 38 is appropriate, please direct it to the
attention of the writer and include a reference to the captioned insured, location, policy number, date ol loss
and claim or file number.
MPIUA Claims Division
MASSACHUSETTS PROPERW INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108.1904
{617} 723-3800 Ma Onlv 1800} 392.6108, FAX (800) 85'l-8424
cMAo0021